Evidence map›Paper›PMID 25078909›Full record

ArticleJournal of clinical microbiology2014

Cryptic and rare Aspergillus species in Brazil: prevalence in clinical samples and in vitro susceptibility to triazoles.

C E Negri, S S Gonçalves, H Xafranski, M D Bergamasco, V R Aquino, P T O Castro, A L Colombo

Abstract read
In one paragraph

Article in Journal of clinical microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Global epidemiology of azole resistance inJAC-antimicrobial resistance · 2026
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  5. Molecular Identification ofInfection and drug resistance · 2025
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  6. Case reports in infectious diseases · 2025
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  7. Endophytic Fungi ofJournal of fungi (Basel, Switzerland) · 2024
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  8. Journal of fungi (Basel, Switzerland) · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Species Distribution and Antifungal Susceptibilities ofJournal of clinical microbiology · 2022
    Article
  16. Distribution ofOpen forum infectious diseases · 2022
    Article
  17. Article
  18. Article
  19. Studies in mycology · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

C E NegriDivision of Infectious Diseases, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.
S S GonçalvesDivision of Infectious Diseases, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.
H XafranskiDivision of Infectious Diseases, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.
M D BergamascoDivision of Infectious Diseases, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil.
V R AquinoHospital das Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
P T O CastroHospital de Câncer de Barretos, Barretos, São Paulo, Brazil.
A L ColomboDivision of Infectious Diseases, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil arnaldolcolombo@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aspergillus spp. are among the most common causes of opportunistic invasive fungal infections in tertiary care hospitals. Little is known about the prevalence and in vitro susceptibility of Aspergillus species in Latin America, because there are few medical centers able to perform accurate identification at the species level. The purpose of this study was to analyze the distribution of cryptic and rare Aspergillus species among clinical samples from 133 patients with suspected aspergillosis admitted in 12 medical centers in Brazil and to analyze the in vitro activity of different antifungal drugs. The identification of Aspergillus species was performed based on a polyphasic approach, as well as sequencing analysis of the internal transcribed spacer (ITS) region, calmodulin, and β-tubulin genes and phylogenetic analysis when necessary. The in vitro susceptibility tests with voriconazole, posaconazole, and itraconazole were performed according to the CLSI M38-A2 document (2008). We demonstrated a high prevalence of cryptic species causing human infection. Only three isolates, representing the species Aspergillus thermomutatus, A. ochraceus, and A. calidoustus, showed less in vitro susceptibility to at least one of the triazoles tested. Accurate identifications of Aspergillus at the species level and with in vitro susceptibility tests are important because some species may present unique resistance patterns against specific antifungal drugs.

Indexed as

Antifungal AgentsAspergillosisAspergillusBrazilCalmodulinCluster AnalysisDNA, FungalDNA, Ribosomal SpacerHumansItraconazoleMicrobial Sensitivity TestsMolecular Sequence DataPhylogenyPrevalenceSequence Analysis, DNATriazolesAntifungal AgentsCalmodulinDNA, FungalDNA, Ribosomal SpacerItraconazoleposaconazoleTriazolesTubulinVoriconazole

Identifiers

PMID25078909
PMCPMC4187744

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.